Health Management Information Systems Health Information Systems Overview

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Health Management Information Systems Health Information Systems Overview Lecture a This material (Comp 6

Health Management Information Systems Health Information Systems Overview Lecture a This material (Comp 6 Unit 2) was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU 24 OC 000024. This material was updated by Normandale Community College, funded under Award Number 90 WT 0003. This work is licensed under the Creative Commons Attribution-Non. Commercial-Share. Alike 4. 0 International License. To view a copy of this license, visit http: //creativecommons. org/licenses/by-nc-sa/4. 0/

Health Information Systems Overview Learning Objectives 1. Define the concept of an information system

Health Information Systems Overview Learning Objectives 1. Define the concept of an information system and its characteristics 2. Describe the different types of information systems 3. Describe various types of technologies that support health care information systems 2

Information System • Automated system – Computer hardware and software o Receives data o

Information System • Automated system – Computer hardware and software o Receives data o Processes data o Outputs data – Supports the functions of the organization 3

General Characteristics of an Information System • Inputs – Order for a drug •

General Characteristics of an Information System • Inputs – Order for a drug • Data – Prescribed drug • Process – Notification of the medication order to appropriate individuals (Pharmacy, for example) • Outputs – Documentation of administration 4

Characteristics of an Information System • Organization of data into information – Example o

Characteristics of an Information System • Organization of data into information – Example o Data dictionary • Ability to analyze the information – Example o Medication management 5

Major Information System Categories • Transaction Processing System (TPS) • Management Information System (MIS)

Major Information System Categories • Transaction Processing System (TPS) • Management Information System (MIS) • Decision Support System (DSS) 6

Transaction Processing System (TPS) • Transaction Processing System (TPS) – Processes information in order

Transaction Processing System (TPS) • Transaction Processing System (TPS) – Processes information in order to complete a transaction • Examples: – Admit, discharge, transfer (ADT) – Patient billing 7

Admission-Discharge-Transfer (ADT) • “The name given to software systems used in health care facilities

Admission-Discharge-Transfer (ADT) • “The name given to software systems used in health care facilities that register and track patients from admission through discharge including transfers; usually interfaced with other systems used throughout a facility such as an electronic health record or lab information system. ” • ADT systems can reside within other information systems, such as registration, scheduling, or pharmacy. 8

Management Information System (MIS) • Management Information System (MIS) – Helps managers plan, organize,

Management Information System (MIS) • Management Information System (MIS) – Helps managers plan, organize, and evaluate their department • Examples: – Laboratory department – Emergency department 9

Emergency Department Information Systems • • • Dashboard systems Communication systems Clinical decision support

Emergency Department Information Systems • • • Dashboard systems Communication systems Clinical decision support Documentation systems Computerized training and information retrieval • Systems to facilitate public health surveillance 10

Decision Support System (DSS) • Information system – Gathers data from a variety of

Decision Support System (DSS) • Information system – Gathers data from a variety of sources – Assists in providing structure to the data – Facilitates and improves the outcome of business and organizational decision-making activities • Example: – Clinical DSS 11

Health Care Information System (HCIS) • Information system used within a health care organization

Health Care Information System (HCIS) • Information system used within a health care organization – Facilitates communication – Integrates information – Documents health care interventions – Performs record keeping – Otherwise support the functions of the organization 12

HCIS Components • • • Patient management and billing Department management Care delivery and

HCIS Components • • • Patient management and billing Department management Care delivery and clinical documentation Clinical decision support Financial and resource management 13

Patient Management and Billing • Systems that support the management of the patient –

Patient Management and Billing • Systems that support the management of the patient – Example o Patient identification – Supporting technology o Master patient index § Patient-identifying directory § Links to the patient record § Facilitates patient identification § Assists in maintaining a longitudinal patient record 14

Department Management • Systems that support a department’s information needs – Example o Health

Department Management • Systems that support a department’s information needs – Example o Health Information Management Department Systems – Supporting technology o Electronic Document Management Systems • Supplies data to patient databases 15

Care Delivery and Clinical Documentation • Systems that support the delivery of the care

Care Delivery and Clinical Documentation • Systems that support the delivery of the care and documentation of that care – Example o Clinical information systems – Supporting technology o Clinical documentation • Houses patient clinical data 16

Clinical Decision Support • Systems that support the clinical staff with data interpretation and

Clinical Decision Support • Systems that support the clinical staff with data interpretation and decision-making – Example o Prescription decision support – Supporting technology o Drug-drug interactions • Accesses patient clinical data and acts on rules configured in the system 17

Financial and Resource Management • Systems that support business functions – Example o Accounts

Financial and Resource Management • Systems that support business functions – Example o Accounts Payable System – Supporting technology o Claims administration • Houses financial and employee data 18

Practice Management • Practice management system (PMS) – Combination of financial and administrative functions

Practice Management • Practice management system (PMS) – Combination of financial and administrative functions – Patient appointment, scheduling, registration, billing, and payroll functions • PMS and electronic medical records integration 19

Health Information Systems Overview Summary – Lecture a • Definition of an information system

Health Information Systems Overview Summary – Lecture a • Definition of an information system and its characteristics • Types of information systems that support the health care enterprise requirements • Types of technologies that support health care information systems 20

Health Information Systems Overview References – Lecture a References AHIMA e-HIM Work Group on

Health Information Systems Overview References – Lecture a References AHIMA e-HIM Work Group on Electronic Document Management as a Component of EHR. (2003). Retrieved from http: //bok. ahima. org/doc? oid=105874 American Health Information Management Association. (2012). Pocket glossary for health information management and technology (3 rd ed. ). Chicago, IL: Author. Das, M. & Eichner, J. (2010, March). Challenges and barriers to clinical decision support (CDS) design and implementation experienced in the agency for healthcare research and quality CDS demonstrations (Prepared for the AHRQ National Resource Center for Health Information Technology under Contract No. 290 -04 -0016. ) AHRQ Publication No. 10 -0064 -EF. Retrieved from https: //healthit. ahrq. gov/sites/default/files/docs/page/CDS_challenges_and_barriers. pdf Healthcare Information and Management Systems Society (HIMSS). (2010). HIMSS dictionary of healthcare information technology terms, acronyms and organizations (2 rd ed. ). Chicago, IL: Author. National Research Council. (2007). Hospital-Based emergency care: At the breaking point. Washington, DC: The National Academies Press. Vogel, L. H. , & Perreault, L. E. , (2006). Management of information in healthcare organizations. In Shortliffe. E. H. , & Cimino, J. J. (Eds. ), Biomedical informatics: Computer applications in health care and biomedicine (3 rd ed) (pp. 476 -510). New York, NY: Springer Science + Business Media. 21

Health Information Systems Overview Lecture a This material was developed by Duke University, funded

Health Information Systems Overview Lecture a This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU 24 OC 000024. This material was updated by Normandale Community College, funded under Award Number 90 WT 0003. 22